Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $82.63 / $114.44 / $157.25	Facility	26	$82.63	$114.44	$157.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.01 / $322.89 / $680.76	Professional		$240.01	$322.89	$680.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.34 / $85.98 / $130.13	Professional	26	$78.34	$85.98	$130.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $157.38 / $220.00 / $508.96	Professional	TC	$157.38	$220.00	$508.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.12 / $345.20 / $504.18	Professional		$275.12	$345.20	$504.18
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $64.09 / $79.09 / $132.63	Professional	26	$64.09	$79.09	$132.63
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $190.00 / $272.00 / $374.30	Professional	TC	$190.00	$272.00	$374.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $85.77 / $126.54 / $382.46	Professional		$85.77	$126.54	$382.46
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.97 / $96.97 / $96.97	Facility	26	$96.97	$96.97	$96.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.01 / $544.35 / $977.88	Professional		$360.01	$544.35	$977.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.29 / $125.34 / $206.16	Professional	26	$79.29	$125.34	$206.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $256.14 / $395.16 / $774.55	Professional	TC	$256.14	$395.16	$774.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $284.72	Professional		$32.34	$32.34	$284.72
United Facility/Professional Professional Modifier Low / Median / High Price $302.14 / $442.15 / $581.79	Professional		$302.14	$442.15	$581.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $79.36 / $91.67 / $135.80	Professional	26	$79.36	$91.67	$135.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $205.34 / $347.57 / $474.38	Professional	TC	$205.34	$347.57	$474.38